Regarding the allegation “Staff did not seek medical attention for resident in care.” It was alleged that: Staff did not seek medical attention for resident in care which led to the decline in the residents health condition. Staff interviews revealed the following: Five (5) out of Five (5) staff denied the allegation “Staff did not seek medical attention for resident in care.” Per interview with S#1 resident R#3 voluntarily stopped taking his psychiatric medicine, resulting in R#3's current medical condition. LPA could not interview any clients regarding the allegation “Staff did not seek medical attention for resident in care.” There was one client present who was discharged in the afternoon 09/07/2023. LPA could not interview family or clients at the time of visit. Record reviews indicate the following: A review of physician’s report for R#3, Admissions; Ancillary; Diagnosis; Discharge Financial; Nursing; Outcomes; Outpatient; For Review; Billing Flags; Assessment client; Account Details; Collateral; Contact Notes; Daily Client Report; Group Sessions Insurance; LABS Licensing; MARs; Medical Misc/Legal/Correspondence; PHI Log; Physician's Orders; Progress Notes; Staff Forms; Treatment Plans; Lab Orders; Lab Requisitions; * Lab Reports A; Appointments; Chart Summary; and Text messages were completed and found there’s was no evidence to corroborate neglect in care that resulted to staff not seeking medical attention for resident in care or lack of supervision resulting in resident hospitalization. Medical reports confirmed that R#3 attempted suicide at age 63, a second attempt involved self-inflicted neck and wrist lacerations (documented). R#3 was admitted to UC Irvine for two weeks.

Record reviews indicate that: R#3’s sadness may have been negatively affected by the absence of R#3’s wife's and R#3’s son’s care. A review of physician’s report for R#3, Admissions; Ancillary; Diagnosis; Discharge Financial; Nursing; Outcomes; Outpatient; For Review; Billing Flags; Assessment client; Account Details; Collateral; Contact Notes; Daily Client Report; Group Sessions Insurance; LABS Licensing; MARs; Medical Misc/Legal/Correspondence; PHI Log; Physician's Orders; Progress Notes; Staff Forms; Treatment Plans; Lab Orders; Lab Requisitions; * Lab Reports A; Appointments; Chart Summary; and reviews of Text messages between administrator and family were completed and found there’s was no evidence to corroborate neglect in care that resulted to staff not seeking medical attention for resident in care or lack of supervision resulting in resident hospitalization. Medical reports confirmed that R#3 attempted suicide at age 63. A second attempt involved self-inflicted neck and wrist lacerations (documented). R#3 was admitted to UC Irvine for two weeks. The admission date for the R#3 was on January 2, 2023, while the discharge/transition date was on February 3, 2023. A record review of R#3 physician's report showed R#3 had document weight loss due to ongoing medical conditions.

Based on interviews conducted, record reviewed and observation, the preponderance of evidence standard has not been met. Although the allegations may have happened or is valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted with Malia Lindy, Director of Operations and a copy of this report was provided.